I had high hopes for this book after seeing all of the positive reviews, but as I read this book I went from feeling a little disappointed to being almost angry at the book by the end. I am a birth doula and I bought this book in hopes of picking up some ideas to help my clients who want/have to have hospital births and still want natural births. I didn't get that at all- and I would even go so far as to recommend that the mommas NOT read this book. I'll try to use some quotes from this book to illustrate what I didn't like.
The first thing I took issue with is the overall tone of this book. Basically it says that in order to get a natural birth in a hospital you just have to stand your ground, tell the doctors that you want a natural birth, and keep asking for "one more hour". This may work well if the staff really is pushing for interventions based on scheduling, doctor preference, etc (as does happen unfortunately), but what about situations where there really is a medical need? This book does not discuss what questions you should ask. Yes, asking for more time (if not an emergency) is good, but what about asking for alternatives, asking about risks of continuing without the intervention, risks of getting the intervention, etc? This book really gave a sense of it's 'us vs. them' in a hospital. Sometimes complications arise, and the most empowering thing the family can do is to make sure they ask the right questions, get what information they need, and make a decision that is right for them (whether or not that is the staff's recommendation) NOT just ask for more time.
I really disliked the line talking about c-sections being "the ultimate manifestation that other people are in control of birth". True, C-sections are over-used and *can* leave a woman feeling like she no longer has control. But this line implies that it's inevitable that a women has lost control as soon as she has a c-section.
The author downplays all possible complications of labor. Again, I think that most (not all) caregivers have lost the trust in women's bodies to do what is best, but sometimes complications do occur. Just pushing for a natural birth regardless of what happens is not necessarily a good idea. For instance, the author recommends that if your water breaks prior to labor beginning that you "don't look at the clock" so that you can't tell the nurses what time your water broke. And that you have to be careful because the doctors might use the words "possible life-threatening infection". Yes, there is a risk of infection after your water breaks. No, it's not a reason to start induction immediately, but this book really gives you the sense that there are no risks.
The author talks about pushing in labor and how "some women push for a few moments, others for twelve hours." Pushing for 12 hours? Really?
The author describes internal fetal monitoring as "using an electrode that is literally screwed into the baby's scalp". The electrode goes a couple millimeters into the skin on the baby's head. Important for the woman to know, but not nearly as bad as the author suggests.
Talking about risks of epidurals: that they can cause "intense headaches that can last for days or even weeks (these are relatively common)" These headaches occur about 1% of the time, and are less likely with epidurals than spinal- not exactly "common". Again- I'm not saying moms don't need to know the risks and this low risk may be enough that she doesn't want an epidural, but phrasing it the way the author did is rather misleading.
The only reason this book got 2 stars instead of 1 is the last chapter- it goes over each of the interventions and strategies (besides just asking for more time) to avoid them. It's actually pretty decent.
I was really disappointed with this book and I don't think it's enough to prepare a mom for a natural hospital birth. Maybe other people got a different sense than I did, but I really feel like this book leaves you feeling that you are against the staff and that they are just there to push you into things you don't want.